Many users experience heavier or longer periods for the first three to six months following copper IUD insertion. Just as your body needs to adjust to the presence of the copper IUD, your body must also adjust to the removal of it. The slight trauma to your uterus or cervix from removing the device may cause a change or delay in your menstrual cycle. In this case, you have nothing to worry about, and your body should adjust back to normal soon. However, if your period is absent for more than three months, then you should talk to your healthcare provider. Your healthcare provider will likely administer a physical exam; ask you questions about your periods, your lifestyle, and your symptoms; and perform a blood test to see if your hormones are at regular levels.

When an IUD is in place, ovulation still occurs. Due to this, if your IUD was removed near your time of ovulation, you could be at risk for pregnancy. Sperm can survive inside the vagina for up to five days, so it is important that you either abstained from sex or used another form of contraception (like a male condom) for one week before the IUD was removed. If you engaged in unprotected sex during the week before your IUD removal, then it would be wise to take a pregnancy test to ensure that you are not pregnant.